| NPI | 1407820590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MI 4301067263) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301067263) |
| 207P00000X Emergency Medicine (Licence: MI 4301067263) | |
| 207R00000X Internal Medicine (Licence: MI 4301067263) | |
| 208M00000X Hospitalist (Licence: MI 4301067263) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-10-03 |